Generalized Anxiety Disorder Screener (GAD-7) Generalized Anxiety Questionnaire Name * Date Over the last 2 weeks, how often have you been bothered by any of the following problems? Feeling nervous, anxious or on edge Not at all Several days More than half the days Nearly every day Not being able to stop or control worrying Not at all Several days More than half the days Nearly every day Worrying too much about different things Not at all Several days More than half the days Nearly every day Trouble relaxing Not at all Several days More than half the days Nearly every day Being so restless that it is hard to sit still Not at all Several days More than half the days Nearly every day Becoming easily annoyed or irritated Not at all Several days More than half the days Nearly every day Feeling afraid as if something awful might happen Not at all Several days More than half the days Nearly every day Column 1 (Not at all) = 0 Column 2 (Several days) = 1 Column 3 (More than half the days) = 2 Column 4 (Nearly every day) = 3 Column 1 + Column 2 + Column 3 + Column 4 = Add the columns and total below: If you checked off any problems, how difficult have these problems made it for you to do your work, take care of things at home, or get along with other people? Not difficult at all Somewhat difficult Very difficult Extremely difficult When did the symptoms begin? Scoring and Interpretation: GAD-2 Score* Provisional Diagnosis 0-2 None 3-6 Probable anxiety discorder GAD-7 Score Provisional Diagnosis 0-7 None 8+ Probable anxiety disorder *GAD-2 is the first 2 questions of the GAD-7 References: Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine. May 22 2006;166(10):1092-1097. PMID: 16717171 Kroenke K, Spitzer RL, Williams JB, Monahan PO, Lowe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Annals of internal medicine.Mar 6 2007;146(5):317-325. PMID: 17339617 Lowe B, Decker O, Muller S, et al. Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population. Medical care. Mar 2008;46(3):266-274. PMID: 18388841 reCAPTCHA If you are human, leave this field blank. Submit
